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South Dakota rates for HCPCS 21244

Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,365.16 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,698.24 / $2,818.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,398.83 / $2,398.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,698.24 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84